Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men—20 US Cities, 2011 and 2014

Shadaker, Shaun; Magee, Matthew; Paz-Bailey, Gabriela; Hoots, Brooke E.

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Characteristics and Risk Behaviors of Men Who Have Sex With Men and Women Compared With Men Who Have Sex With Men—20 US Cities, 2011 and 2014

July 01 2017
By Shadaker, Shaun ; Magee, Matthew ; Paz-Bailey, Gabriela ; ...
Source: J Acquir Immune Defic Syndr. 75(Suppl 3):S281-S287

[PDF-340.32 KB]

English

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Details:

Alternative Title:

J Acquir Immune Defic Syndr
Personal Author:

Shadaker, Shaun ; Magee, Matthew ; Paz-Bailey, Gabriela ; Hoots, Brooke E.

Shadaker, Shaun ; Magee, Matthew ; Paz-Bailey, Gabriela ; Hoots, Brooke E. Less -
Corporate Authors:

for the NHBS Study Group
Description:

Background

Men who have sex with men (MSM) are heterogeneous with respect to sexual behavior. We examined differences in sex behaviors between men who have sex with men and women (MSMW) and men who have sex with men only (MSMO).

Methods

Data for this analysis were from MSM who participated in National HIV Behavioral Surveillance in 2011 and 2014. We used the combined years to evaluate demographic and behavioral differences between MSMW and MSMO. Using log-linked Poisson regression models, adjusted prevalence ratios (aPR) were calculated for behavioral outcomes.

Results

Overall, 2042 (11.9%) participants were classified as MSMW. MSMW were less likely than MSMO to have condomless sex with male partners [aPR 0.77; 95% confidence interval (CI): 0.74 to 0.81] and to have been diagnosed with another sexually transmitted disease (aPR 0.83; 95% CI: 0.72 to 0.95). MSMW were more likely than MSMO to have given money or drugs for sex (aPR 2.85; 95% CI: 2.52 to 3.24) or received money or drugs for sex (aPR 2.64; 95% CI: 2.37 to 2.93) and to ever have injected drugs (aPR 2.05; 95% CI: 1.80 to 2.34). MSMW had more total sex partners (median 6, interquartile range: 4–11 vs. 3, 2–8), casual sex partners (5, 2–10 vs. 3, 1–7), and condomless sex partners (2, 1–4 vs. 1, 0–2) in the last 12 months (P < 0.01 for all comparisons).

Conclusions

MSMW have distinct sexual risk behaviors from MSMO and may contribute to HIV transmission among women. MSMW could benefit from tailored interventions to reduce HIV risk behaviors.
Subjects:

[+]

Adult Article Behavioral Risk Factor Surveillance System Bisexuality Bisexual Men Cities Female HIV HIV Infections Homosexuality, Male Humans Male Men Who Have Sex With Men And Women (MSMW) Middle Aged MSM Patient Acceptance Of Health Care Prevalence Risk-Taking Risk Factors Sexual Partners Truth Disclosure United States Young Adult
Source:

J Acquir Immune Defic Syndr. 75(Suppl 3):S281-S287
Pubmed ID:

28604429
Pubmed Central ID:

PMC7836745
Document Type:

Journal Article
Funding:

CC999999/ImCDC/Intramural CDC HHS/United States
Volume:

75
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:475aafbf8bdf5d3ffdaddcfa8fdcc9013fb431485f222b9f4a9f95b806b543be
Download URL:

https://stacks.cdc.gov/view/cdc/101280/cdc_101280_DS1.pdf
File Type:

	NIHMS891816-supplement-NHBS_Study_Group_participants.pdf	pdf
	nihms891816.nxml	xml

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